Craniocerebral penetrating injury caused by a spear gun through the mouth
ABSTRACT The authors report a case of a craniocerebral penetrating injury caused by the shaft of a spear gun. The entry point of the spear was located in the mouth without an obvious exit point. The authors first note the presentation of the patient, whose airway was obstructed by the shaft, and then discuss the surgical procedure, which was focused on removing the shaft in an anterograde direction because of an articulated wishbone located at the tip of the shaft.
SourceAvailable from: sciencedirect.comInjury Extra 04/2011; 42(4):37-40. DOI:10.1016/j.injury.2010.12.026
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ABSTRACT: This study looks at the case of a 20-year-old fisherman, who was speared in the head, the spear entering at his jaw and protruding from the top of his scull, while he was swimming unaccompanied; he was rescued, admitted to the intensive care unit for an operation, remained in a coma for a few days and then had a full recovery. About 10 days before the rescue, he had visited a monk who, intuited and functioning as channel of the divine spirit, had told him that he 'should not be afraid of anything', rubbing the top of his scull and his jaw exactly at the points through which the 40-inch spear passed. After the incident, the monk prescience again the exact day on which he would recover from the coma. It is concluded that the survival of the fisherman can be attributed to a paranormal event. The monk's prescience permit the assumption that a divine spirit was pervasive throughout the universe and present in this life-threatening situation, endeavouring to assist the lifeguard, the neurosurgeons and the young fisherman.Journal of Religion and Health 03/2011; DOI:10.1007/s10943-011-9488-2 · 1.02 Impact Factor
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ABSTRACT: A 57-year-old man attempted to commit suicide by thrusting a chopstick into his throat during a meal, resulting in penetrating injury into the cranium. Computed tomography revealed that the chopstick had penetrated the soft palate and passed through the jugular foramen to the cerebellum, damaging the internal jugular vein. The chopstick fractured in the lateral pharyngeal space and was impossible to observe directly from the oral cavity, requiring surgical cooperation with neurosurgeons to remove the object under general anesthesia. After one end of the chopstick body was identified in the deep portion of the styloid prominence, an approach was made from the neck to prevent hemorrhage and gas embolism in the affected internal jugular vein. The other end of the chopstick was identified near the jugular foramen and it was removed through the neck via occipital craniotomy. Post-operative management included sedation and artificial ventilation to manage brain contusion and edema and intracranial inflammation. The patient was gradually recovered and transferred to a general ward 4 weeks after the surgery. After 4 years, the patient retains clear mentation, but remains hospitalized in a rehabilitation hospital because of persistent quadriplegia.Asian Journal of Oral and Maxillofacial Surgery 05/2012; DOI:10.1016/j.ajoms.2011.08.002